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Remote Medical Claims Processor Jobs in Rio Rancho, NM

firsthand Health

Remote Triage Nurse

Albuquerque, NM · On-site +1

$80K/yr

Develop and deliver training on basic medical topics for peer mental health workers and social ... Adaptability to varying team cultures and processes. * Empathy, compassion, and approachability in ...

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All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Rio Rancho, NM

Remote Medical Claims Processor information

See Rio Rancho, NM salary details

$13

$18

$24

How much do remote medical claims processor jobs pay per hour?

As of Jul 18, 2026, the average hourly pay for remote medical claims processor in Rio Rancho, NM is $18.31, according to ZipRecruiter salary data. Most workers in this role earn between $16.30 and $20.34 per hour, depending on experience, location, and employer.

What is the difference between Remote Medical Claims Processor vs Remote Medical Billing Specialist?

AspectRemote Medical Claims ProcessorRemote Medical Billing Specialist
CredentialsTypically requires medical coding or claims processing certificationsOften requires medical billing certifications and coding knowledge
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare providers or billing companies
Industry UsageInsurance companies, third-party administratorsHospitals, clinics, billing service providers
Job FocusProcessing and reviewing insurance claims for reimbursementPreparing and submitting bills, managing accounts receivable

While both roles work remotely within the healthcare industry, the Remote Medical Claims Processor primarily reviews and processes insurance claims, focusing on reimbursement. In contrast, the Remote Medical Billing Specialist handles billing procedures, including preparing and submitting invoices. Both roles require similar certifications and often overlap in work environment and employer types, but their core responsibilities differ in claim review versus billing management.

What Is the Job of a Remote Medical Claims Processor?

Remote medical claims processors handle billing paperwork for health care offices or insurance companies. Instead of working in the office, remote medical claims processors complete their job duties from home or another location outside of the office with internet connectivity. As a remote medical claims processor, your responsibilities include ensuring medical insurance claims have proper billing codes that match the services provided, clarifying patient concerns about benefits, and adding changes made to the claim by the doctors or insurer. You may also be required to follow up with the insurer to find out the status of claims and discuss any discrepancies.

What are the key skills and qualifications needed to thrive as a Remote Medical Claims Processor, and why are they important?

To thrive as a Remote Medical Claims Processor, a solid understanding of medical terminology, insurance policies, and claims adjudication is essential, typically supported by a high school diploma or equivalent and relevant experience. Familiarity with claims management software, electronic health records (EHR) systems, and knowledge of HIPAA regulations are typically required. Attention to detail, strong organizational skills, and clear written communication help individuals excel in processing claims accurately and efficiently. These skills ensure timely and correct claims processing, reducing errors and supporting the financial health of both healthcare providers and patients.

How does a Remote Medical Claims Processor typically collaborate with healthcare providers and insurance companies while working from home?

As a Remote Medical Claims Processor, collaboration with healthcare providers and insurance companies primarily occurs through secure digital communication channels, such as email, specialized claims management software, and phone calls. You will regularly interact with provider offices to clarify patient information, verify coverage, or resolve discrepancies in submitted claims. While the role is independent, you often coordinate with team members and supervisors virtually to ensure claims are processed efficiently and accurately. Maintaining clear documentation and communication is essential for resolving issues and minimizing processing delays.

What does a Remote Medical Claims Processor do?

A Remote Medical Claims Processor reviews, evaluates, and processes insurance claims submitted by healthcare providers and patients. Working from a remote location, they verify the accuracy of claim information, ensure proper coding, and determine whether services are covered based on insurance policies. They also communicate with providers, patients, and insurance companies to resolve discrepancies or request additional information. This role helps ensure that claims are processed efficiently and accurately for timely reimbursement.
More about Remote Medical Claims Processor jobs
What are popular job titles related to Remote Medical Claims Processor jobs in Rio Rancho, NM? For Remote Medical Claims Processor jobs in Rio Rancho, NM, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processor jobs in Rio Rancho, NM look for? The top searched job categories for Remote Medical Claims Processor jobs in Rio Rancho, NM are:
What cities near Rio Rancho, NM are hiring for Remote Medical Claims Processor jobs? Cities near Rio Rancho, NM with the most Remote Medical Claims Processor job openings:
Remote Medical Claims Processor jobs near you
Infographic showing various Remote Medical Claims Processor job openings in Rio Rancho, NM as of July 2026, with employment types broken down into 83% Full Time, 13% Part Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $38,088 per year, or $18.3 per hour.
Principal Network Management Consultant - (Ancillary) Work from Home

Principal Network Management Consultant - (Ancillary) Work from Home

Health Care Service Corporation

Albuquerque, NM • On-site, Remote

$92K - $167K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 7 days ago

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryThis position is responsible for provider recruitment and contracting of national ancillary providers including large or complex dialysis, laboratory, home infusion, and durable medical equipment providers, for all HCSC plans and lines of business. Develop proposals and negotiate contracts. Develop and maintain relationships with providers. Responsible for education of providers and for ongoing provider service. Provide subject matter expertise to improve efficiencies and results.

JOB REQUIREMENTS:

  • Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience involves negotiating reimbursements, financial arrangements and rates.

  • Extensive knowledge of provider and facility contracting, products, and claims/processing systems.

  • Negotiation skills.

  • Relationship building skills.

  • Knowledge of marketplace.

  • Meet deadlines and work well under pressure.

  • Verbal and written communication skills to interact with all levels of corporate personnel and providers.

  • PC proficiency to include Microsoft Office.

  • Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations.

  • Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

PREFERRED JOB REQUIREMENTS:

  • Ancillary Contracting experience.

#LI-LO1

#LI-Telecommuter

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$92,700.00 - $167,500.00

Exact compensation may vary based on skills, experience, and location.

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